Comme tempers flare! As the words fly, perorations violent some officials, notwithstanding good connoisseurs of the health system, which are silent until then! Let us be lucid, France has never found a way to collaborate with health agencies its effectiveness and impartiality. The policy response to a crisis is to create each time a new structure which monitor the actions of professionals questioned and existing organizations.
Multiply the places of decision, cutting the reality in small heaps isolated each other. Each agency, each authority is composed of hundreds or thousands of staff, in offices that deal in turn records by looking first to protect themselves. Consequences: slow, fragmentation, jealousy of the chiefs and deputy chiefs, all contribute to inefficiency, under an expanded health organization on paper. Hundreds of millions of euros were injected into these machines to delay decisions on the pretext of checking cowards that hide the inefficiency of the mechanism. Why remake the world, ever publish orders, decrees and circulars which sometimes contradict each other, while Europe has already resolved the issue? Narrow nationalism generator redundancy and mismanagement.
The drug industry is made to sell boxes of pills active against disease, is it wrong? When a company has heavily bankrupt, should devote the whole profession to obloquy? Let us remember the millions who benefit daily progress of science and health products on the market. When the drug industry has left France what have we gained? A dependence of more and beatific smile of critics of the capitalist economy. The real question being put on the public square by the case of the Mediator, concerns the relationship between industry and the various health actors, doctors, experts, universities, patient groups, unions and others to political parties. To limit the spread and irresponsibility, the concentration of structures is an urgent necessity. It is urgent to fall into three areas: security, prevention and medical practice, many agencies, institutes and authorities. Thus, the cluster security meet Afssaps (Health Products), AFSSA (food safety) and Afesst (Safety); pole prevention would combine the National Institute of Health Surveillance (INVS) and the National Institute of prevention (INPS) , and the pole and colleagues in our medical practice health, the High Authority for Health (HAS) and the National Institute against Cancer (Inca). Downsizing, abolition of posts created only for good service and these duplicates so dear to the administration on the pretext of controlling the neighbor, accelerated decision circuits, performance evaluation, these are the pillars of an overhaul of our system of health protection that would reflect a real change in the polity.
The issue of experts called "independent" is meaningless, because nobody really is. The best scientists and doctors in one area are sought by all private and public. If the independent expert is not required, because its value is zero. The key will be to draw new decision circuits that prevent collusion, based on the contract and its corollary, the termination immediate and without appeal in case of conflict proved. At this price only, we will find health institutions worthy of their missions and that we really trust.
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